How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $60.26 | Facility | None | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $478.63 | Professional | None (both parts) | $52.48 | $56.23 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $141.25 | Professional | 26 · Professional part | $12.02 | $15.14 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $338.84 | Professional | TC · Technical part | $40.74 | $41.69 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $11.48 | $11.48 | $20.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $144.54 | Facility | None | $56.23 | $83.18 | $144.54 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $52.48 | $70.79 | $75.86 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $10.96 | $33.11 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $43.65 | $81.28 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.45 Typical High $28.84 | Professional | 26 · Professional part | $8.91 | $14.45 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $34.67 | $57.54 | $114.82 |
Health Alliance Plan Setting Facility Modifier None Typical Low $85.11 Median $204.17 Typical High $676.08 | Facility | None | $85.11 | $204.17 | $676.08 |
Health Alliance Plan Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $107.15 Typical High $134.90 | Facility | TC · Technical part | $42.66 | $107.15 | $134.90 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $51.29 | $57.54 | $83.18 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $13.18 | $19.95 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $42.66 | $66.07 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $64.57 Typical High $141.25 | Professional | None (both parts) | $40.74 | $64.57 | $141.25 |
Priority Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $8.91 | $13.80 | $23.99 |
Priority Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $48.98 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $48.98 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $52.48 | $67.61 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $12.88 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $81.28 | Professional | TC · Technical part | $40.74 | $54.95 | $81.28 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $51.29 Typical High $323.59 | Professional | FX · Film X-ray | $37.15 | $51.29 | $323.59 |
Where Michigan sits
The same service costs 5.5 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 40th of 51
$63.10
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.